Schoen Cathy, Osborn Robin, How Sabrina K H, Doty Michelle M, Peugh Jordon
Commonwealth Fund in New York City, USA.
Health Aff (Millwood). 2009 Jan-Feb;28(1):w1-16. doi: 10.1377/hlthaff.28.1.w1. Epub 2008 Nov 13.
This 2008 survey of chronically ill adults in Australia, Canada, France, Germany, the Netherlands, New Zealand, the United Kingdom, and the United States finds major differences among countries in access, safety, and care efficiency. U.S. patients were at particularly high risk of forgoing care because of costs and of experiencing inefficient, poorly organized care, or errors. The Dutch, who have a strong primary care infrastructure, report notably positive access and coordination experiences. Still, deficits in care management during hospital discharge or when seeing multiple doctors occurred in all countries. Findings highlight the need for system innovations to improve outcomes for patients with complex chronic conditions.
这项2008年针对澳大利亚、加拿大、法国、德国、荷兰、新西兰、英国和美国慢性病成年人的调查发现，各国在医疗服务可及性、安全性和护理效率方面存在重大差异。美国患者因费用问题而放弃治疗以及经历低效、组织不善的护理或医疗失误的风险尤其高。荷兰拥有强大的初级护理基础设施，其报告显示在医疗服务可及性和协调方面有着显著积极的体验。尽管如此，所有国家在出院时或看多位医生时的护理管理方面都存在不足。研究结果凸显了进行系统创新以改善复杂慢性病患者治疗效果的必要性。
